Treatment of septic hip in a pediatric ED: a retrospective case series analysis

The American Journal of Emergency Medicine
Pavel KotlarskyMark Eidelman

Abstract

A pediatric septic hip is a serious condition that must be recognized and treated as early as possible. We describe the clinical course of children with septic hip that were treated with aspiration of the hip joint in the emergency department (AHED). This was a retrospective case series analysis. Between January 1, 2007, and December 31, 2014, 17 children with septic hip were diagnosed by emergency physicians using point-of-care ultrasonography. All were treated with AHED. During hospital admission, a median of 2 (interquartile range [IQR], 2-3) follow-up sonographic examinations per patient was performed; 10 (59%) patients did not have another hip aspiration, and 7 (41%) had a median of 1 (IQR, 1-3) hip joint aspiration under sedation. Median length of antibiotic treatment was 28 days (IQR, 21-40). No patient underwent arthrotomy, and all recovered without disability in up to 4 years of follow-up. The results of this cohort suggest that AHED with repeated aspirations as needed is an effective treatment for children with septic hip.

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Citations

Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Christopher ThomJames Moak
Feb 11, 2021·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Cornelia Maria DondersChristiaan J A van Bergen
Jul 4, 2021·Emergency Medicine Clinics of North America·Ashkon Shaahinfar, Zahra M Ghazi-Askar
Jul 29, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Eric ScheierUri Balla

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